Impact of health-promoting text messages on cardiovascular risk: Findings from a randomized controlled trial in primary care - Summary - MDSpire

Impact of health-promoting text messages on cardiovascular risk: Findings from a randomized controlled trial in primary care

  • By

  • Björk Javanshiri, Amanda

  • Borgström Bolmsjö, Beata

  • Wolff, Moa

  • Glock, Hanna

  • Milos Nymberg, Veronica

  • Nymberg, Peter

  • Modig, Sara

  • Calling, Susanna

  • May 5, 2026

  • 0 min

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Objective:

To investigate the effect of health-promoting text messages on metabolic and multiple cardiovascular disease (CVD) risk factors among Swedish primary care patients with hypertension.

Key Findings:
  • No overall difference in improved CVD risk profiles between intervention and control groups.
  • Both groups decreased their number of CVD risk factors at follow-up.
  • Significant improvements in CVD risk factor control were observed in sedentary participants and those with poor self-rated health in the intervention group.
  • The intervention group showed a modest reduction in HbA1c levels.
Interpretation:

While health-promoting text messages did not significantly improve overall CVD risk profiles, they had a modest positive effect on specific subgroups, indicating potential public health implications.

Limitations:
  • Limited clinical impact of the intervention on metabolic risk factors.
  • The overall effect on CVD risk factors was not significant for the entire population.
Conclusion:

Health-promoting text messages may have important implications for targeted groups, despite limited overall effectiveness on CVD risk factors.

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